|
Injection for tear sac x-ray
|
$201.29 |
$201.29 |
$201.29 |
$386.00
|
|
Injection, fulvestrant
|
$899.70 |
$899.70 |
$899.70 |
$2,756.47
|
|
Injection into brain canal
|
$201.29 |
$201.29 |
$201.29 |
$933.60
|
|
Injection,onabotulinumtoxina
|
$655.90 |
$655.90 |
$655.90 |
$2,154.07
|
|
Injection, renflexis
|
$677.92 |
$677.92 |
$677.92 |
$1,457.42
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$606.20 |
$606.20 |
$606.20 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$133.88 |
$133.88 |
$133.88 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$282.10 |
$282.10 |
$282.10 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$66.15 |
$66.15 |
$66.15 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$393.75 |
$393.75 |
$393.75 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$282.10 |
$282.10 |
$282.10 |
$141.60
|
|
Inj for ext venography
|
$321.30 |
$321.30 |
$321.30 |
$737.55
|
|
Inj ivig privigen 500 mg
|
$2,819.83 |
$2,819.83 |
$2,819.83 |
$7,298.71
|
|
Inj, lecanemab-irmb, 1 mg
|
$534.12 |
$534.12 |
$534.12 |
$1,729.21
|
|
Inj., meropenem, vaborbactam
|
$148.64 |
$148.64 |
$148.64 |
$618.43
|
|
Inj multihance
|
$2.76 |
$2.76 |
$2.76 |
$119.25
|
|
Inj ogivri 10 mg
|
$3,325.90 |
$3,325.90 |
$3,325.90 |
$3,968.67
|
|
Inj peritoneal venous shunt
|
$86.11 |
$86.11 |
$86.11 |
$386.88
|
|
Inj proc ankle arthr
|
$144.90 |
$144.90 |
$144.90 |
$405.31
|
|
Inj proc elbow arthro
|
$147.74 |
$147.74 |
$147.74 |
$453.60
|
|
Inj proc lumbr disk ea lvl
|
$239.09 |
$239.09 |
$239.09 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$186.17 |
$186.17 |
$186.17 |
$922.80
|
|
Inj proc sialogram
|
$201.29 |
$201.29 |
$201.29 |
$380.80
|
|
Inj, releuko 1 mcg
|
$106.85 |
$106.85 |
$106.85 |
$557.11
|
|
Inj retacrit esrd on dialysi
|
$51.09 |
$51.09 |
$51.09 |
$307.40
|
|
Inj retro urethrocysto
|
$105.70 |
$105.70 |
$105.70 |
$551.29
|
|
Ins cath ren art 1st bi
|
$2,672.46 |
$2,672.46 |
$2,672.46 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$2,238.39 |
$2,238.39 |
$2,238.39 |
$4,667.63
|
|
Insert cath pleura with image
|
$461.48 |
$461.48 |
$461.48 |
$2,239.02
|
|
Insert drug delivery implant
|
$54.50 |
$54.50 |
$54.50 |
$285.80
|
|
Insertion catheter bladder non indwelling
|
$80.01 |
$80.01 |
$80.01 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$287.35 |
$287.35 |
$287.35 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$813.65 |
$813.65 |
$813.65 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$4,563.41 |
$4,563.41 |
$4,563.41 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,586.05 |
$4,586.05 |
$4,586.05 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$693.63 |
$693.63 |
$693.63 |
$2,618.40
|
|
Insertion of cannula
|
$2,089.08 |
$2,089.08 |
$2,089.08 |
$3,724.63
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$4,933.53 |
$4,933.53 |
$4,933.53 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,407.80 |
$4,407.80 |
$4,407.80 |
$12,813.28
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$2,079.43
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$7,572.47
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,420.02 |
$6,420.02 |
$6,420.02 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,929.82 |
$2,929.82 |
$2,929.82 |
$5,470.54
|
|
Insert swan-ganz cath
|
$1,692.81 |
$1,692.81 |
$1,692.81 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$2,665.53 |
$2,665.53 |
$2,665.53 |
$5,062.80
|
|
Insitu hybridization auto
|
$57.33 |
$57.33 |
$57.33 |
$398.16
|
|
In situ hybridization per specimen initial single probe stain
|
$123.80 |
$123.80 |
$123.80 |
$338.40
|
|
Insj perq vad r hrt venous
|
$2,363.90 |
$2,363.90 |
$2,363.90 |
$4,981.60
|
|
Ins mark abd/pel for right perq
|
$1,156.40 |
$1,156.40 |
$1,156.40 |
$2,070.00
|
|
Ins mark thor for right perq
|
$382.10 |
$382.10 |
$382.10 |
$2,396.35
|
|
Ins/rpl pm gen exist dual lead
|
$8,911.70 |
$8,911.70 |
$8,911.70 |
$11,593.70
|
|
Instillation anticarcinogenic agent bladder
|
$227.15 |
$227.15 |
$227.15 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$2,660.35 |
$2,660.35 |
$2,660.35 |
$4,748.00
|
|
Insulin total
|
$36.40 |
$36.40 |
$36.40 |
$67.60
|
|
Interdiscal perq aspir dx
|
$392.70 |
$392.70 |
$392.70 |
$1,222.26
|
|
Interrog evl pm/ldls pm ip
|
$140.49 |
$140.49 |
$140.49 |
$127.20
|
|
Intrinsic factor antibody
|
$28.98 |
$28.98 |
$28.98 |
$59.95
|
|
Intro cath dialysis circuit w/pta
|
$6,638.00 |
$6,638.00 |
$6,638.00 |
$8,761.00
|
|
Intro catheter aorta
|
$502.42 |
$502.42 |
$502.42 |
$1,861.61
|
|
Intro long gi tube
|
$151.83 |
$151.83 |
$151.83 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$239.09 |
$239.09 |
$239.09 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,582.88 |
$1,582.88 |
$1,582.88 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,731.56 |
$1,731.56 |
$1,731.56 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$638.05 |
$638.05 |
$638.05 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.76 |
$2.76 |
$2.76 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.54 |
$3.54 |
$3.54 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$28,055.14 |
$28,055.14 |
$28,055.14 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$3.31 |
$3.31 |
$3.31 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$127.35 |
$127.35 |
$127.35 |
$227.39
|
|
Iron
|
$36.05 |
$36.05 |
$36.05 |
$70.72
|
|
Iron binding capacity
|
$12.60 |
$12.60 |
$12.60 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$149.14 |
$149.14 |
$149.14 |
$62.70
|
|
Irradiation of blood product each unit reference
|
$46.90 |
$46.90 |
$46.90 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$108.85 |
$108.85 |
$108.85 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$1,475.16 |
$1,475.16 |
$1,475.16 |
$13,419.80
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$269.85 |
$269.85 |
$269.85 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$269.85 |
$269.85 |
$269.85 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$163.10 |
$163.10 |
$163.10 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$392.00 |
$392.00 |
$392.00 |
$460.85
|
|
Ivp w/nephrotomography
|
$526.68 |
$526.68 |
$526.68 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$382.03 |
$382.03 |
$382.03 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$266.72 |
$266.72 |
$266.72 |
$378.30
|
|
Ketamine and metabolite screen - quest
|
$0.63 |
$0.63 |
$0.63 |
$68.15
|
|
Ketogenic steroids fract
|
$22.68 |
$22.68 |
$22.68 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$77.70 |
$77.70 |
$77.70 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$236.67 |
$236.67 |
$236.67 |
$30.08
|
|
Kidney imaging morphology
|
$491.09 |
$491.09 |
$491.09 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$869.09 |
$869.09 |
$869.09 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$18.00 |
$18.00 |
$18.00 |
$100.00
|
|
Kit lead specify 5-6-5
|
$10,932.10 |
$10,932.10 |
$10,932.10 |
$17,205.92
|
|
Knee MRI (with and without contrast)
|
$4,974.55 |
$4,974.55 |
$4,974.55 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$4,036.90 |
$4,036.90 |
$4,036.90 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,604.32 |
$2,604.32 |
$2,604.32 |
$2,181.10
|
|
Knee X-ray
|
$670.95 |
$670.95 |
$670.95 |
$443.90
|
|
Kras gene variants exon 2
|
$248.85 |
$248.85 |
$248.85 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$40.25 |
$40.25 |
$40.25 |
$53.30
|
|
Lactated ringers intravenous solution
|
$23.98 |
$23.98 |
$23.98 |
$54.11
|
|
Lactic acid
|
$44.84 |
$44.84 |
$44.84 |
$102.90
|
|
Lactoferrin fecal quant
|
$129.15 |
$129.15 |
$129.15 |
$106.10
|